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INTRODUCTION
A SUCCESSFUL ATTEMPT TO ABANDON OPIUM
DE QUINCEY'S "CONFESSIONS OF AN ENGLISH OPIUM-EATER"
OPIUM REMINISCENCES OF COLERIDGE
WILLIAM BLAIR
OPIUM AND ALCOHOL COMPARED
INSANITY AND SUICIDE FROM AN ATTEMPT TO ABANDON MORPHINE
A MORPHINE HABIT OVERCOME
ROBERT HALL--JOHN RANDOLPH--WILLIAM WILBERFORCE
WHAT SHALL THEY DO TO BE SAVED?
OUTLINES OF THE OPIUM-CURE
INTRODUCTION.
This volume has been compiled chiefly for the benefit of opium-eaters. Its subject is one indeed which might be made alike attractive to medical men who have a fancy for books that are professional only in an accidental way; to general readers who would like to see gathered into a single volume the scattered records of the consequences attendant upon the indulgence of a pernicious habit; and to moralists and philanthropists to whom its sad stories of infirmity and suffering might be suggestive of new themes and new objects upon which to bestow their reflections or their sympathies. But for none of these classes of readers has the book been prepared. In strictness of language little medical information is communicated by it. Incidentally, indeed, facts are stated which a thoughtful physician may easily turn to professional account. The literary man will naturally feel how much more attractive the book might have been made had these separate and sometimes disjoined threads of mournful personal histories been woven into a more coherent whole; but the book has not been made for literary men. The philanthropist, whether a theoretical or a practical one, will find in its pages little preaching after his particular vein, either upon the vice or the danger of opium-eating. Possibly, as he peruses these various records, he may do much preaching for himself, but he will not find a great deal furnished to his hand, always excepting the rather inopportune reflections of Mr. Joseph Cottle over the case of his unhappy friend Coleridge. The book has been compiled for opium-eaters, and to their notice it is urgently commended. Sufferers from protracted and apparently hopeless disorders profit little by scientific information as to the nature of their complaints, yet they listen with profound interest to the experience of fellow-sufferers, even when this experience is unprofessionally and unconnectedly told. Medical empirics understand this and profit by it. In place of the general statements of the educated practitioner of medicine, the empiric encourages the drooping hopes of his patient by narrating in detail the minute particulars of analagous cases in which his skill has brought relief.
The number of confirmed opium-eaters in the United States is large, not less, judging from the testimony of druggists in all parts of the country as well as from other sources, than eighty to a hundred thousand. The reader may ask who make up this unfortunate class, and under what circumstances did they become enthralled by such a habit? Neither the business nor the laboring classes of the country contribute very largely to the number. Professional and literary men, persons suffering from protracted nervous disorders, women obliged by their necessities to work beyond their strength, prostitutes, and, in brief, all classes whose business or whose vices make special demands upon the nervous system, are those who for the most part compose the fraternity of opium-eaters. The events of the last few years have unquestionably added greatly to their number. Maimed and shattered survivors from a hundred battle-fields, diseased and disabled soldiers released from hostile prisons, anguished and hopeless wives and mothers, made so by the slaughter of those who were dearest to them, have found, many of them, temporary relief from their sufferings in opium.
There are two temperaments in respect to this drug. With persons whom opium violently constricts, or in whom it excites nausea, there is little danger that its use will degenerate into a habit. Those, however, over whose nerves it spreads only a delightful calm, whose feelings it tranquillizes, and in whom it produces an habitual state of reverie, are those who should be upon their guard lest the drug to which in suffering they owe so much should become in time the direst of curses. Persons of the first description need little caution, for they are rarely injured by opium. Those of the latter class, who have already become enslaved by the habit, will find many things in these pages that are in harmony with their own experience; other things they will doubtless find of which they have had no experience. Many of the particular effects of opium differ according to the different constitutions of those who use it. In De Quincey it exhibited its power in gorgeous dreams in consequence of some special tendency in that direction in De Quincey's temperament, and not because dreaming is by any means an invariable attendant upon opium-eating. Different races also seem to be differently affected by its use. It seldom, perhaps never, intoxicates the European; it seems habitually to intoxicate the Oriental. It does not generally distort the person of the English or American opium-eater; in the East it is represented as frequently producing this effect.
It is doubtful whether a sufficient number of cases of excess in opium-eating or of recovery from the habit have yet been recorded, or whether such as have been recorded have been so collated as to warrant a positive statement as to all the phenomena attendant upon its use or its abandonment. A competent medical man, uniting a thorough knowledge of his profession with educated habits of generalizing specific facts under such laws--affecting the nervous, digestive, or secretory system--as are recognized by medical science, might render good service to humanity by teaching us properly to discriminate in such cases between what is uniform and what is accidental. In the absence, however, of such instruction, these imperfect, and in some cases fragmentary, records of the experience of opium-eaters are given, chiefly in the language of the sufferers themselves, that the opium-eating reader may compare case with case, and deduce from such comparison the lesson of the entire practicability of his own release from what has been the burden and the curse of his existence. The entire object of the compilation will have been attained, if the narratives given in these pages shall be found to serve the double purpose of indicating to the beginner in opium-eating the hazardous path he is treading, and of awakening in the confirmed victim of the habit the hope that he may be released from the frightful thraldom which has so long held him, infirm in body, imbecile in will, despairing in the present, and full of direful foreboding for the future.
In giving the subjoined narratives of the experience of opium-eaters, the compiler has been sorely tempted to weave them into a more coherent and connected story; but he has been restrained by the conviction that the thousands of opium-eaters, whose relief has been his main object in preparing the volume, will be more benefited by allowing each sufferer to tell his own story than by any attempt on his part to generalize the multifarious and often discordant phenomena attendant upon the disuse of opium. As yet the medical profession are by no means agreed as to the character or proper treatment of the opium disease. While medical science remains in this state, it would be impertinent in any but a professional person to attempt much more than a statement of his own case, with such general advice as would naturally occur to any intelligent sufferer. Very recently indeed, some suggestions for the more successful treatment of the habit have been discussed both by eminent medical men and by distinguished philanthropists. Could an Institution for this purpose be established, the chief difficulty in the way of the redemption of unhappy thousands would be obviated. The general outline of such a plan will be found at the close of the volume. It seems eminently deserving the profound consideration of all who devote themselves to the promotion of public morals or the alleviation of individual suffering.
THE OPIUM HABIT.
A SUCCESSFUL ATTEMPT TO ABANDON OPIUM.
In the personal history of many, perhaps of most, men, some particular event or series of events, some special concurrence of circumstances, or some peculiarity of habit or thought, has been so unmistakably interwoven and identified with their general experience of life as to leave no doubt in the mind of any one of the decisive influence which such causes have exerted. Unexaggerated narrations of marked cases of this kind, while adding something to our knowledge of the marvellous diversities of temptation and trial, of success and disappointment which make up the story of human life, are not without a direct value, as furnishing suggestions or cautions to those who may be placed in like circumstances or assailed by like temptations.
The only apology which seems to be needed for calling the attention of the reader to the details which follow of a violent but successful struggle with the most inveterate of all habits, is to be found in the hope which the writer indulges, that while contributing something to the current amount of knowledge as to the horrors attending the habitual use of opium, the story may not fail to encourage some who now regard themselves as hopeless victims of its power to a strenuous and even desperate effort for recovery. Possibly the narrative may also not be without use to those who are now merely in danger of becoming enslaved by opium, but who may be wise enough to profit in time by the experience of another.
A man who has eaten much more than half a hundredweight of opium, equivalent to more than a hogshead of laudanum, who has taken enough of this poison to destroy many thousand human lives, and whose uninterrupted use of it continued for nearly fifteen years, ought to be able to say something as to the good and the evil there is in the habit. It forms, however, no part of my purpose to do this, nor to enter into any detailed statement of the circumstances under which the habit was formed. I neither wish to diminish my own sense of the evil of such want of firmness as characterizes all who allow themselves to be betrayed into the use of a drug which possesses such power of tyrannizing over the most resolute will, nor to withdraw the attention of the reader from the direct lesson this record is designed to convey, by saying any thing that shall seem to challenge his sympathy or forestall his censures. It may, however, be of service to other opium-eaters for me to State briefly, that while endowed in most respects with uncommon vigor of any tendency to despondency or hypochondria, an unusual nervous sensibilitv, together with a constitutional tendency to a disordered condition of the digestive organs, strongly predisposed me to accept the fascination of the opium habit. The difficulty, early in life, of retaining food of any kind upon the stomach was soon followed by vagrant shooting pains over the body, which at a later day assumed a permanant chronic form.
For two or three years previous to this time my general health had been gradually improving. Neuralgic disturbance was of less frequent occurrence and was less intense, the stomach retained its food, and, what was of more consequence, the difficulty of securing a reasonable amount of sleep had for the most part passed away. Instead of a succession of wakeful nights any serioious interruption of habitual rest occurred at infrequent intervals, and was usually limited to a single night.
In addition to these hopeful indications in encouragement of a vigorous effort to abandon the habit, there were on the other hand certain warnings which could not safely be neglected. The stomach began to complain,--as well it might after so many years unnatural service,--that the daily task of disposing of a large mass of noxious matter constantly cumulating its deadly assaults upon the natural processes of life was getting to be beyond its powers. The pulse had become increasingly languid, while the aversion to labor of any kind seemed to be settling down into a chronic and hopeless infirmity. Some circumstances connected with my own situation pointed also to the appropriateness of the present time for an effort which I knew by the experience of others would make a heavy demand upon all one's fortitude, even when these circumstances were most propitious. At this period my time was wholly at my own disposal. My family was a small one, and I was sure of every accessory support I might need from them to tide me over what I hoped would prove only a temporary, though it might be a severe, struggle. The house I occupied was fortunately so situated that no outcry of pain, nor any extorted eccentricity of conduct, consequent upon the effort I proposed to make, could be observed by neighbors or by-passers.
I had failed, however, to observe that a few pages preceding this detailed statement the writer had given a faint intimation that the experiment had been a more protracted one than was indicated by the table. I had also failed to notice the fact that no real progress had been made during the first four weeks of the attempt: the average quantity of laudanum daily consumed for the first week being one hundred and three drops; of the second, eighty-four drops; of the third, one hundred and forty-two drops; and of the fourth, one hundred and thirty-eight drops; and that in the fifth week the self-denial of more than three days had been rewarded with the indulgence of three hundred drops on the fourth. A careful comparison of this kind, showing that in an entire month the average of the first week had been but one hundred and three drops, while the average of the last had been one hundred and thirty-eight drops, and that in the fifth week a frantic effort to abstain wholly for three days had obliged him to use on the fourth more than double the quantity to which of late he had been accustomed, would have prevented the incautious conclusion, suggested by his table, that De Quincey made use of laudanum but on two occasions after the expiration of the fourth week.
Two days more and I had come down to twenty-five grains. Matters now began to look a good deal more serious. Only fifteen of the last forty grains had been dispensed with; but this gain had cost a furious conflict. A strange compression and constriction of the stomach, sharp pains like the stab of a knife beneath the shoulder-blades, perpetual restlessness, an apparent prolongation of time, so much so that it seemed the day would never come to a close, an incapacity of fixing the attention upon any subject whatever, wandering pains over the whole body, the jaw, whenever moved, making a loud noise, constant iritability of mind and increased sensibility to cold, with alternations of hot flushes, were some of the phenomena which manifested themselves at this stage of the process. The mental elations of the first three days had become changed by the fifth into a state of high nervous excitement; so that while on the whole there was a prevailing hopefulness of temper, and even some remaining buoyancy of spirits, arising chiefly from the certainty that already the quantity consumed had been reduced by more than two-thirds, the conviction had, nevertheless, greatly deepened, that the task was like to prove a much more serious one than I had anticipated. Whether it was possible at present to carry the descent much further had become a grave question. The next day, however, a reduction of five grains was somehow attained; but it was a hard fight to hold my own within this limit of twenty grains. From this stage commenced the really intolerable part of the experience of an opium-eater retiring from service. During a single week, three-quarters of the daily allowance had been relinquished, and in this fact, at least, there was some ground for exultation. If what had been gained could only be secured beyond any peradventure of relapse, so far a positive success would be achieved.
Had the experiment stopped here for a time until the system had become in some measure accustomed to its new habits, possibly the misery I subsequently underwent might some of it have been spared me. However this may be, I had not the patience of mind necessary for a protracted experiment. What I did must be done at once; if I would win I must fight for it, and must find the incentive to courage in the conscious desperation of the contest.
From the point I had now reached until opium was wholly abandoned, that is, for a month or more, my condition may be described by the single phrase, intolerable and almost unalleviated wretchedness. Not for a waking moment during this time was the body free from acute pain; even in sleep, if that may be called sleep which much of it was little else than a state of diminished consciousness, the sense of suffering underwent little remission. What added to the aggravation of the case, was the profound conviction that no further effort of resolution was possible, and that every counteracting influence of this kind had been already wound up to its highest tension. I might hold my own; to do anything more I thought impossible. Before the month had come to an end, however, I had a good deal enlarged my conceptions of the possible resources of the will when driven into a tight corner.
The only person outside of my family to whom I had confided the purpose in which I was engaged was a gentleman with whom I had some slight business relations, and who I knew would honor any demands I might make in the way of money. I had assured him that by New Year's Day I should have taken opium for the last time, and that any extravagance of expenditure would not probably last beyond that date. Upon this assurance, but confessedly having little or no faith in it, he asked me to dine with him on the auspicious occasion.
When I led him into the yard, the insignificance of his appearance, in contrast with the labor it had cost me to get him there, was enough to make any one laugh, excepting perhaps a person suffering the punishment I was then undergoing. Mounting the animal called for a final struggle of determination with weakness. A stone next the fence was the chief reliance in this emergency. It placed me nearly on a level with the stirrup, while the fence enabled me to steady myself with my hand and counteract the tremulousness of the knees, which made mounting so difficult. On one occasion, however, my dread of being observed induced me to make too great an effort. Hearing some one approach, I attempted to raise myself in the stirrup without the aid of stone or fence, but it was more than I could manage. Hardly had I succeeded in raising myself from the ground when my extreme feebleness was manifest, and I fell prostrate upon my back. With the help of the colored woman, the astonished witness of my fall, I finally succeeded in getting upon the horse. Once seated, however, I felt like another person. The vigorous application of a whip, heartily repeated for a few strokes, would arouse the pony into a sullen canter, out of which he would drop with a demonstrative suddenness that made it difficult to keep my seat. In this way considerable relief was obtained for several days from the exasperations produced by the long continuance of pain. After about a fortnight's use of the animal, and when I had learned to be content with half a dozen grains of opium daily, I found myself too weak and helpless to venture on his back, and thus our acquaintance terminated. As this is the first, and probably the last appearance of my equine friend in print, I may as well say that he was sold a short time afterward in the Fifth Street Horse Market, for the sum of forty-three dollars. This is but a meagre price, but the horse had not then become historical.
For the week I was dropping from sixteen grains to nine the addition of new symptoms was slight, but the aggravation of the pain previously endured was marked. The feeling of bodily and mental wretchedness was perpetual, while the tedium of life and occasional vague wishes that it might somehow come to an end were not infrequent. The chief difficulty was to while away the hours of day-light. My rest at night had indeed become imperfect and broken, but still it was a kind of sleep for several hours, though neither very refreshing nor very sound. Those who were about me say that I was in constant motion, but of this I was unconscious. I only recollect that wakening was a welcome relief from the troubled activity of my thoughts. After my morning's ride I usually walked slowly and hesitatingly to the city, but as this occupied only an hour the remaining time hung wearily upon my hands. I could not read--I could hardly sit for five consecutive minutes. Many suffering hours I passed daily either in a large public library or in the book-stores of the city, listlessly turning over the leaves of a book and occasionally reading a few lines, but too impatient to finish, a page, and rarely apprehending what I was reading. The entire mental energies seemed to be exhausted in the one consideration--how not to give in to the tumult of pain from which I was suffering. Up to this time I had from boyhood made a free use of tobacco. The struggle with opium in which I was now so seriously engaged had repeatedly suggested the propriety of including the former also in the contest. While the severity of the struggle would, I supposed, be enhanced, the self-respect and self-reliance, the opposition and even obduracy of the will would, I hoped, be enough increased as not seriously to hazard the one great object of leaving off opium forevcr. Still I dreaded the experiment of adding a feather's weight to the sufferings I was then enduring. An accidental circumstance, however, determined me upon making the trial; but to my surprise, no inconvenience certainly, and scarce a consciousness of the deprivation accompanied it. The opium suffering was so overwhelming that any minor want was aimost inappreciable. The next day brought me down to nine grains of Opium. It was now the sixteenth day of December, and I had still fifteen days remaining before the New Year would, as I had resolved, bring me to the complete relinquishment of the drug. The three days which succeeded the disuse of tobacco caused no apparent intensification of the suffering I had been experiencing. On the fourth day, however, and for the fortnight which succeeded, the agony of pain was inexpressibly dreadful, except for the transient intervals when the effects of the opium were felt.
The disuse of tobacco, together with the consequences of the diminished use of opium, had now induced a furious appetite. Dining early at a restaurant of rather a superior character, where bread, crackers, pickles, etc., were kept on the table in much larger quantities than it was supposed possible for one individual to need, my hunger had become so extreme that I consumed not only all for which I had specially called, but usually every thing else upon the table, leaving little for the waiter to remove except empty dishes and his own very apparent astonishment. This, it should be understood, was a surreptitious meal, as my own dinner-hour was four o'clock, at which time I was as ready to do it justice as though innocent of all food since a heavy breakfast. The hours intervening between this first and second dinner it was difficult to pass away. The ability to read even a newspaper paragraph had ceased for a number of days. From habit, indeed, I continued daily to wander into several of the city book-stores and into the public library, but the only use I was able to make of their facilities consisted in sitting, but with frequent change of chairs, and looking listlessly around me. The one prevailing feeling now was to get through, somehow or anyhow, the experiment I was suffering under.
While suffering under a paroxysm of this kind, rendered all the more difficult to endure from the exhausted state of the body--in doubt even, at intervals, whether my mind was still under my own control--an impulse of almost suicidal despair suggested the thought, "Go back to opium; you can not stand this." The temptation endured but for a moment, "No, I have suffered too much, and I can not go back. I had rather die;" and from that moment the possibility of resuming the habit passed from my mind forever.
It was at night, however, that the suffering from this change of habit became most unendurable. While the day-light lasted it was possible to go out-of-doors, to sit in the sunlight, to walk, to do something to divert attention from the exhausted and shattered body; but when darkness fell, and these resources failed, nothing remained except a patient endurance with which to combat the strange torment. The only disposition toward sleep was now limited to the early evening. Double dinners, together with the disuse of tobacco, began at this time to induce a fullness of habit in spite of bodily pain. In addition to this, the liver was seriously affected--which seems to be a concomitant of the rapid disuse of opium--and a tendency to heavy drowsiness resulted, as usually happens when this organ is disordered. As early as six or seven o'clock an unnatural heaviness would oppress the senses, shutting out the material world, but not serving wholly to extinguish the consciousness of pain, and which commonly lasted for an hour or two. For no longer period could sleep be induced upon any terms. During these wretched weeks the moments seemed to prolong themselves into hours, and the hours into almost endless durations of time. The monotonous sound of the ticking clock often became unendurable. The calmness of its endlessly-repeated beats was in jarring discord with my own tumultuous sensations. At times it seemed to utter articulate sounds. "Ret-ri-bu-tion" I recollect as being a not uncommon burden of its song. As the racked body, and the mind, possibly beginning to be diseased, became intolerant of the odious sound, the motion of the clock was sometimes stopped, but the silence which succeeded was even worse to the disordered imagination than the voices which had preceded it. With the eyes closed in harmony with the deadly stillness, all created nature seemed annihilated, except my single, suffering self, lying in the midst of a boundless void. If the eyes were opened, the visible world would return, but peopled with sights and sounds that made the misty vastness less intolerable. There appeared to be nothing in these sensations at all approaching the phenomena exhibited in delirium tremens. On the contrary, the mind was always and perfectly aware, except for the instant, of the unreal nature of these deceptions and illusions.
A single case will sufficiently illustrate the nature of some of these apparitions. In the absence of sleep, and while engaged as was not unusual at this period in the perpetration of doggerel verse, the irritation of the stomach became intolerable. The sensation seemed similar to what. I had read of the final gnawings of hunger in persons dying of starvation; a new vitality appeared to be imparted to the organ, revealing to the consciousness a capacity for suffering previously unsuspected. In the earlier stages, this feeling, which did not exhibit itself till somewhat late in the process of leaving off opium, was marked by an insatiable craving for stimulus of some sort, and a craving which would hardly take denial. While suffering in this way intolerably on one occasion, and after having attempted in vain to find some possible alleviation suggested in the pages of De Quincey, which lay near me, I threw myself back on the bed with the old resolution to fight it out. Almost immediately an animal like a weasel in shape, but with the neck of a crane and covered with brilliant plumage, appeared to spring from my breast to the floor. A venerable Dutch market-woman, of whom I had been in the habit of purchasing celery, seemed to intervene between me and the animal, begging me not to look at it, and covering it with her apron. Just as I was about to remonstrate against her interference, something seemed to give way in the chest and the violence of the pain suddenly abated.
With these tasks accomplished, and with a suspicion that the allotted hours must have long expired, I would yet remind myself that I was in a condition to exaggerate the lapse of time; and then, to give myself every assurance of fidelity to my purpose, I would start off on a new term of endurance. I seemed to myself to have borne the penance for hours, to have made myself a shining example of what a resolute will can do under circumstances the most inauspicious. At length, when certain that the time must have much more than expired, and with no little elation over the happy result of the experiment, I looked up to the clock and found it to be just three minutes past one! Little as the mind had really accomplished, the sense of its activity in these few minutes had been tremendous. Measuring time by the conscious succession of ideas may, if I may say it parenthetically, be no more than the same infirmity of our limited human faculties which just now is leading so many men of science, consciously or unconsciously, to recognize in Nature co-ordinate gods, self-subsisting and independent of the ever-living and all-present God.
During the five days in which I was descending from the use of six grains of opium to two, the indications of the changes going on in the system were these: The gnawing sensation in the stomach continued and increased; the plethoric feeling was unabated, the pulse slow and heavy, usually beating about forty-seven or forty-eight pulsations to the minute; the blood of the whole system seemed to be driven to the extremities of the body; my face had become greatly flushed; the fingers were grown to the size of thumbs, while they, together with the palms of the hands and the breast, parted with their cuticle in long strips. The lower extremities had become hard, as through the agency of some compressed fluid. A prickling sensation over the body, as if surcharged with electricity, and accompanied with an apparent flow of some hot liquid down the muscles of the arms and legs, exhibited itself at this time. A constant perspiration of icy coldness along the spine had also become a conspicuous element in this strange aggregation of suffering. The nails of the fingers were yellow and dead-looking, like those of a corpse; a kind of glistening leprous scales formed over the hands; a constant tremulousncss pervaded the whole system, while separate small vibrations of the fibres on the back of the hand were plainly visible to the eye. To these symptoms should be added a dimness of sight often so considerable as to prevent the recognition of objects even at a short distance.
With an experience of which this is only a brief outline, Christmas Day found me using but two grains of opium. Seven days still remained to me before I was to be brought by my pledge to myself to the last use of the drug. For several days previous to this I had abandoned my bed, through apprehension of falling whenever partial sleep left the tumbling and tossing body exempt from the control of the will, and had betaken myself to a low couch made up before the fire, with a second bed on the floor by its side. The necessity for such precaution was repeatedly indicated, but through the kindest care of those whose solicitude never ceased, and who added inexpressibly to this kindness by controlling as far as possible every appearance of solicitude, no injury resulted.
Under the accumulated agony of this part of the trial I began to fear that my mind might give way. I was conscious of occasional fury of temper under very slight provocation. An expressman had charged me what was really an extortionate sum for bringing out a carriage from the city. I can laugh now over the absurd way in which I attacked him, not so much I am sure to save the overcharge as to get rid on so legitimate an object of my accumulated irritability. After nearly an hour's angry dispute, in which I watched successfully and with a malicious ingenuity for any opening through which I could enrage him, and for doing which I am certain he would forgive me if he had known how much I was suffering, he at last gave up the contest by exclaiming, "For heaven's sake give me any thing you please--only let me go!" I had not only saved my money, but felt myself greatly refreshed at finding there was so much life left in me.
It should have been stated before, that when the daily allowance had been reduced to six grains that quantity was divided into twelve pills, and that as this was diminished the size of the pills became gradually smaller till each of them only represented an eighth of a grain. As the daily amount of opium became smaller, although its general effect on the system was necessarily diminished, the conscious relief obtained from each of its fractional parts was for a few minutes more apparent than when these sub-divisions were first made. In this way it was possible so to time the effect as to throw their brief anodyne relief upon the dinner-hour or any other time when it might be convenient to have the agony of the struggle a little alleviated.
While I am not desirous of going into needless detail respecting all the particular phenomena of the process through which I was now passing, it may yet give the reader a more definite idea of the extremely nervous state to which I was reduced, if I mention that so nearly incapable had my hand become of holding a pen, that whenever it was absolutely necessary for me to write a few lines I could only manage it by taking the pen in one quivering hand, then grasp it with the other to give it a little steadiness, watching for an interval in the nervous twitching of the arm and hand, and then, making an uncertain dash at the paper, scrawl a word or two at long intervals. In this way I continued for several weeks to prepare the few brief notes I was obliged to write. My signature at this period I regard with some curiosity and more pride. It is certainly better than that of Guido Faux, affixed to his examination after torture, though it is hardly equal to the signature of Stephen Hopkins to the Declaration of Independence.
During the morning, however, my wretchedness drove me again to the office of the same physician. He listened courteously to my statement; said it was a very serious case, but outside of any reliable observation of his own, and recommended me to consult a physician of eminence residing in quite a different part of the city. He also expressed the hope, though I thought in no very confident tone, that I might be successful, and pretending to shut the door, watched my receding footsteps till I turned a distant corner. I now pass the house of the other physician to whom I was recommended to apply, several times every week, and I often moralize over the apprehension and anxieties with which I then viewed the two or three steps which led to his dwelling. When I arrived opposite his house I stopped and calculated the chances of mounting these steps without falling. I first rested my hand upon the wall and then endeavored to lift my feet upon the second step, but I had not the strength for such an exertion. I thought of crawling to the door, but this was hardly a decorous exhibition for the most fashionable street of the city, filled just then with gayly-dressed ladies. Why I did not ask some gentleman to aid me I can not now recall. I only recollect waiting for several minutes in blank dismay over the seeming impossibility of ever entering the door before me. Finally I went to the curbstone and walked as rapidly and steadily as possible to the lower step, and summoning all my energies made a plunge upward and fortunately caught the door-knob. The physician was at dinner, which gave me some time to recover myself from the agitation into which I had been thrown. After I had narrated my case with special reference to the suspicion of internal inflammation and its possible effect upon the brain, he assured me that no danger of the kind needs to be anticipated. He hoped I might succeed in my purpose, but thought it doubtful. An uncle of his own, a clergyman of some reputation, had died in making the effort. However, if I would take care of my own resolution, he would answer for my continued sanity. He prescribed some preparation of valerian and red pepper, I think, which I used for a week with little appreciable benefit. Finding no great relief from this prescription, or from those of other medical men whom for a few days about this time I consulted, and feeling a constant craving for something bitter, I at last prescribed for myself. Passing a store where liquor was sold, my eye accidentally rested upon a placard in the window which read "Stoughton's Bitters." This preparation gave me momentary relief, and the only appreciable relief I found in medicine during the experiment.
The nights now began to bring new apprehensions. A constant dread haunted my mind, in spite of the physician's assurances, that my brain might give way from the excitement under which I labored. I was especially afraid of some sudden paroxysm of mania, under the influence of which I might do myself unpremeditated injury. I never feared any settled purpose of self-injury, but I had become nervously apprehensive of possible wayward and maniacal impulses which might result in acts of violence.
Illusions of this nature served to keep the blood at feverheat during the hours of darkness. Night after night the pistol was placed beneath the pillow in readiness for these ghostly intruders. A few days, however, brought other apprehensions worse than those of thieves and burglars. The uncontrollable exasperation of the temper obliged me at length to draw the charge from the pistol, through fear of yielding to some sudden impulse of despair. I had also put out of reach my razors, a hammer, and whatever else might serve as an impromptu means of violence. I remember the grim satisfaction with which I looked upon the brass ornaments of the bedroom fire-place, and reflected that, if worse came to worst, I was not wholly without a resource with which to end my sufferings. For nearly a fortnight previously I had refrained from shaving, dreading I scarce knew what.
The day succeeding Christmas I rode to the city and walked the length of innumerable by-streets as my weakness would allow. When too exhausted to walk further, and looking for some place of rest, I observed a barber's sign suspended over a basement room. Fortunately the barber stood in the door-way and helped me to descend the half-dozen stone steps which led to his shop. I told the man to cut my hair, shave me, and shampoo my head. As he began his manipulations it seemed as though every separate hair was endowed with an intense vitality. It was impossible to refrain from mingled screams and groans as I repeatedly caught his arm and obliged him to desist. Luckily the barher was a man of sense, and by his extreme gentleness contrived in the course of an hour to calm down my excitement.
When he had finished his work the sense of relief and refreshment was astonishing. In this barber-shop I learned for the first time in what the perfection of earthly happiness consists. The sudden cessation of protracted and severe pain brings with it so exquisite a sense of enjoyment that I do not believe that successful ambition, or requited love, or the gratification of the wildest wishes for wealth, has a happiness to bestow at all comparable to the calm, contented, all-satisfying happiness that comes from a remission of intolerable pain. For the first time in a month I felt an emotion that could be called positively pleasant. As I left the shop I needed no assistance in reaching the sidewalk, and waiked the streets for an hour or two with something of an assured step.
Among other indications of the change taking place at this time in the system was the increased freezing perspiration perpetually going on, especially down the spine. This sense of dampness and icy coldness has now continued for many months, and for nearly a year was accompanied with a heavy cold. During the opium-eating years I do not remember to have been affected at all in this latter way; but a severe cold at this time settled upon the lungs, one indication of which was frequent sternutation, consequent apparently upon the inflammation of the mucous membrane.
In the entire week from Christmas to New Year's the progress in abandonment of opium was but a single grain. I am sure there was no want of resolution at this trying time. Day by day I exhausted all my resources in the vain endeavor to get on with half, three-quarters, even seven-eighths of a grain; but moans and groans, and biting the tongue till the blood came, as it repeatedly did, would not carry me over the twenty-four hours without the full grain. It seemed as if tortured nature would collapse under any further effort to bring the matter to a final issue.
At length the long-anticipated New Year's Day, on which I was to be emancipated forever from the tyranny of opium, arrived. For five weeks of such steady suffering as the wealth of all the world would not induce me to encounter a second time, I had kept my eye steadily fixed upon this day as the beginning of a new life. This was also the day on which I was to dine with my friend. As the dinner-hour approached it became evident that no opium meant no dinner, and a little later, that dinner or no dinner the opium was still a necessity. A half grain I thought might carry me through the day, but in this I was mistaken. As I lay upon my friend's sofa, suffering from a strange medley of hunger, pain, and weakness, it seemed that years must elapse before the system could regain its tone or the bodily sensations become at all endurable. Soon after dinner I felt obliged to take another half-grain. My humiliation in failing to triumph when and how I had resolved to do, was excessive. In spite of the strongest resolutions, I was still an opium-eater. I somehow felt that after all I had gone through I ought, to have succeeded. I was in no mood to speculate about the causes of the failure; it was enough to know that I had failed, and what was worse, that apparently nothing whatever had been gained in the last four days. While I certainly felt no temptation to give in, I thought it possible that some of the functions of the body, from the long use of opium, might have completely lost their powers of normal action, and that I should be obliged to continue a very moderate use of the drug during the remainder of my life. I saw, in dismal perspective, that small fractional part of the opium of years which was now represented by a single grain, looming up in endless distance, not unlike that puzzling metaphysical necessity in the perpetual subdivision of a unit, which, carried as far as it may be, always leaves a final half undisposed of. But in this I did myself injustice. I had really gained much in these few days, and the proof of it lay in the use of but half a grain on the day which succeeded New Year's. The third day of January, greatly to my surprise, a quarter-grain I found carried me through the twenty-four hours with apparently some slight remission of suffering.
As I now look back upon it, the worst of the experiment lay in the three weeks intervening between the 10th and the 31st of December. So far as mere pain of body was concerned, there was little to choose between the agony of one day and another; but the apprehension that insanity might set in, certainly aggravated the distress of the later stages of the trial. When a man knows that he is practicing self-control to the very utmost, and holding himself up steadily to his work in spite of the gravest discouragements, the consciousness that a large vacuum is being gradually formed in his brain is not exhilarating.
When the clock struck twelve at midnight, and I knew that for the first time in many years I had lived for an entire day without opium, it excited no surprise or exultation. The capacity for an emotion of any kind was exhausted. I seemed as little capable of a sentiment as a man well could be, this side of his winding-sheet. I knew, of course, that in these forty days save one, I had worked out the problem, How to leave off opium, and that I had apparently attained a final deliverance: but it was several weeks before I appreciated with any confidence the completion of the task I had undertaken.
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